Active NPI
Dale L. McGregor, D.O., P.C.
- Skilled Nursing Facility
- Moultrie, GA
National Provider Identifier
1235339714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 025220
- Legal business name
- DALE L. MCGREGOR, D.O., P.C.
- Practice address
- 102 Cobblestone Trce SE
Moultrie, GA 31788-7748 - Phone
- (229) 985-3400
- NPI assigned
- Jul 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dale Lee McGregor, D.O.
- Title
- Physician/President
- Phone
- (229) 985-3400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 025220 | GA | Primary |
Addresses
Primary practice location
102 Cobblestone Trce SE
Moultrie, GA 31788-7748
Mailing address
102 Cobblestone Trce SE
Moultrie, GA 31788-7748
Phone (229) 985-3400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000268815A | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
102 Cobblestone Trce SE
Moultrie, GA 31788
Phone (229) 985-3400
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Moultrie, GA
- NPI 1619935699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185148800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1418947200000",
"number": "1235339714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 COBBLESTONE TRCE SE",
"city": "MOULTRIE",
"state": "GA",
"postal_code": "317887748",
"telephone_number": "229-985-3400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 COBBLESTONE TRCE SE",
"city": "MOULTRIE",
"state": "GA",
"postal_code": "317887748",
"telephone_number": "229-985-3400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DALE L. MCGREGOR, D.O., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-23",
"last_updated": "2014-12-19",
"status": "A",
"authorized_official_last_name": "MCGREGOR",
"authorized_official_first_name": "DALE",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
"authorized_official_telephone_number": "229-985-3400",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "GA",
"license": "025220",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000268815A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moultrie, GA
- Crystal Pharmacy LLC (Crystal Pharmacy)
- Crystal Pharmacy LLC (Crystal Pharmacy)
- Crystal Pharmacy, LLC
- D.W. Adcock Orthopaedic Clinic, LLC
- Daisy Concierge Care
- Scott Fitzgerald Daly, MD
- David Griner Counseling, LLC (David Griner Counseling)
- Anthony B Davis Sr., PA
- Franklin Brent Davis Jr., MD
- Janett Davis, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.